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CATA 337 > shoulder > Flashcards

shoulder Flashcards

1
Q
  1. What is the scapulothoracic rythm
A
  1. 0-30º no scapular movement, 30-90º 2:1 mvt, >90 1:1
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2
Q
  1. Name 5 patients history questions for shoulder
A
  1. Age, MOI, dominant arm, what aggravated condition, muscle spams, deformity, bruising, wasting, weakness, and heaviness in limb after activity
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3
Q
  1. Name 5 history questions for shoulder
A
  1. Pain type and location, Movement pain, sport, position
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4
Q
  1. Name 3 causes of shoulder primary and 3 secondary impigment syndrome
A
  1. RC tendon degeneration, hooked acromion, GH joint hypermobility ->primary
    Muscle weakness or fatigue, muscle hypomobility, capsule tightness -> secondary
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5
Q
  1. What do we need to observe for shoulder anterior injury
A
  1. Step deformity, fountain sign (swelling @ ant. AC), sulcus sign, dominant side
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6
Q
  1. Reason of scapular dysfunction type 1
A
  1. Presence of weak muscle (low trap, lat dorsi, SA, tight pec
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7
Q
  1. Reason of scapular dysfunction type 3
A
  1. over activity of the levator scapula and upper trapezius along with imbalance of the upper and lower trapezius force couple, impingement and rotator cuff lesions
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8
Q
  1. Reason of scapular dysfunction type 4
A
  1. during movement and may indicate the scapular control muscles are not stabilizing the scapula
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9
Q
  1. What body movement are doing the active movement of shoulder
A
  1. glenohumeral, scapulothoracic, acromioclavicular, sternoclavicular, ribs, thoracic, spine
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10
Q
  1. Reason of scapular dysfunction type 2
A
  1. Presence of SLAP lesion weakness of SA, rhomboids, lower, mid and upper trap, long thoracic nerve problem, tight humeral rotator
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11
Q

what to look in posterior view of shoulder

A

scapular dyskinesia, primary scapular winging, dynamic scapular winging, rounded shoulder, tight or muscle imbalance

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12
Q

reason for primary scapular winging

A

due to muscle weakness of one of the scapular muscle stabilizers

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13
Q

cause of secondary scapular winging

A

normal movement of scapula is altered because of pathology in glenohumeral joint

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14
Q

cause of tertiary winging

A

may be due to lesion of the long thoracic nerve affecting serratus anterior, trapezius palsy (spinal accessory nerve), rhomboid weakness, multidirectional instability, voluntary action, or a painful shoulder resulting in splinting of the glenohumeral joint, which in turn causes reverse scapulohumeral rhythm

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15
Q

cause of scapular duskinestesy

A

bony: thoracic kyphosis, clavicular fracture or malunion
joint: AC instability, GH internal derangement
neurological: cervical radiculopathy, long thoracic n. palsy, spinal accessory n. palsy
soft tissue: hypo mobility, GH int. rot. deficit, altered m. activation pattern, intrinsic m. pathology

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16
Q

reason for abnormal active mvt of shoulder

A

scapulothoracic rythme
painful arc: subacromial bursitis, calcium deposit, pertenonitis or tendinitis of RC
apprehension
winging

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17
Q

what does it means when patient can achieve 90 degree of and

A

test gives a clearer indication of true glenohumeral joint medial and lateral rotation, which are measured when the scapula starts to move.

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18
Q

what happen if GH internal and external rotation is > 1

A

patient will probably develop shoulder problem

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19
Q

cause of snapping scapula

A

scapula ribbing over the underlying ribs

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20
Q

which muscle can increase protraction

A

tight pec , weak lower trap , weak, SA

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21
Q

which muscle increase depression

A

weak upper trap

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22
Q

caused loss of scapular stabilization

A

excessive lateral rot of scapula
thigh lat. rotator
secondary impigment
excessive elevation of scapula

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23
Q

functional mvt of shoulder

A

brush teeth, hair
tuck in t-shirt
reach of shelf
sport specific mvt

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24
Q

2 type of shoulder instability

A

TUBS, AMBRI

25
Q

what is TUBS

A

traumatic unidirectional instability
bankart or slap lession
treat with surgery

26
Q

what is AMBRI

A

atraumatic, multidirectional bilateral instability
treat more with rehab

27
Q

name some test for ant. shoulder instability

A

rockwood, load and shift, ant. drawer, apprehension (crank) test

28
Q

what is a positive test for crank and relocation test

A

If the arm is released (anterior release or “surprise” test) in the newly acquired range, pain and forward translation of the head are noted in positive tests.

29
Q

test for post. shoulder instability

A

jerk test, post. apprehension, post. drawer

30
Q

test for impriment

A

neer, Hawkins-kennedy, yocum’s, reverse impingement

31
Q

grade 1 jobe classification

A

Pure impingement with no instability (often seen in older patients)

32
Q

grade 2 jobe classification

A

Secondary impingement and instability caused by chronic capsular and labral microtrauma

33
Q

grade 3 jobe impigment

A

Secondary impingement and instability caused by generalized hypermobility or laxity

34
Q

grade 4 jobe impigment

A

Primary instability with no impingement

35
Q

grade 4 jobe impigment

A

Primary instability with no impingement

36
Q

test for labral tears

A

O’brien, clunk test, labral crank, resisted supination external rotation

37
Q

type 1 slap tears

A

concerns degenerative fraying with no detachment of the biceps insertion.

38
Q

type 2 slap tears

A

is the most common type and represents a detachment of the superior labrum and biceps from the glenoid rim.

39
Q

type 3 slap tears

A

represents a bucket-handle tear of the labrum with an intact biceps tendon insertion to the bone

40
Q

type 4 slap tears

A

lesions, the least common type represents an intra-substance tear of the biceps tendon with a bucket-handle tear of the superior aspect of the labrum.

41
Q

test for scapular stability

A

scapular assistance test, wall push-up test

42
Q

S/S for SICK

A

insidious onset, protection of scapula, acromion less prominent, coracoid very tender to palpation, lack full forward flexion, tight short head of bicep, thighs pec minor, prominence of inferior medial border of scapula

42
Q

S/S for SICK

A

insidious onset, protection of scapula, acromion less prominent, coracoid very tender to palpation, lack full forward flexion, tight short head of bicep, thighs pec minor, prominence of inferior medial border of scapula

43
Q

AC joint test

A

sher test, cross over test, paxinos sign

44
Q

what is paxinos sign

A

The examiner provides pressure to the acromion in an anterosuperior direction with the thumb, while also applying pressure an inferior direction to the mid-clavicle with the index and middle fingers

If pain is elicited or increased in the region of the acromioclavicular joint, the test is considered positive

45
Q

test for bicep tendon

A

speed test,

46
Q

test for supraspinatus tendon

A

empty can

47
Q

test for RC tendon

A

drop arm

48
Q

test for subscap tendon

A

lift off

49
Q

test for transverse ligament

A

yergason’s test

50
Q

test for thoracic outlet syndrom

A

ROOS, allen, adson, Halstead, costoclavicular, EAST, AER

51
Q

what does it means if Roos, EAST,EAR are positive

A

neural or vascular cause of thoracic outlet syndrome

52
Q

what does it means if Allen test is positive

A

TOS caused by tight pec minor and vascular cause

53
Q

what does it means if adson test if positive

A

vascular TOS cause by tight scalene

54
Q

what does it means if Halstead is positive

A

pec minor

55
Q

what does it means if costoclavicular test is positive

A

subclavian a. is affected

56
Q

what is the roos test

A

pump fist for 2 min

57
Q

what is adson test

A

put arm in abd and take radial pulse if it dispear = +

CATA 337 (6 decks)

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